Betts Aaron M, Cornelius Rebecca
From the *Department of Radiology, University of Cincinnati Medical Center; and †Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Top Magn Reson Imaging. 2015 Feb;24(1):15-22. doi: 10.1097/RMR.0000000000000043.
Computed tomography (CT) is often the primary imaging modality for the evaluation of sinonasal disease. For some indications, magnetic resonance imaging (MRI) may provide additional information. There are established indications for using MRI in complicated sinonasal inflammatory disease, invasive fungal sinus disease, and sinonasal mass lesions. When MRI is used in the evaluation of sinonasal disease, it is usually used as a complementary modality in addition to CT. Magnetic resonance imaging in sinonasal disease can be used to further characterize the primary sinonasal disease process and to evaluate the extent of complications such as orbital or intracranial involvement. When MRI is used in sinonasal disease, it should be evaluated in the context of the clinical situation and CT imaging features. This will help radiologists provide a meaningful differential diagnosis to assist in clinical management.
计算机断层扫描(CT)通常是评估鼻窦疾病的主要成像方式。对于某些指征,磁共振成像(MRI)可能会提供额外信息。在复杂的鼻窦炎性疾病、侵袭性真菌性鼻窦炎和鼻窦肿块病变中,使用MRI有既定的指征。当MRI用于鼻窦疾病评估时,它通常作为CT之外的补充方式。鼻窦疾病的磁共振成像可用于进一步明确鼻窦原发性疾病过程,并评估诸如眼眶或颅内受累等并发症的范围。当MRI用于鼻窦疾病时,应结合临床情况和CT成像特征进行评估。这将有助于放射科医生提供有意义的鉴别诊断,以协助临床管理。